State Street Health Care Select Sector SPDR Premium Income ETF
$26.33−0.18 (−0.67%)
- 0.35%
- $28M
- +18.0%
- 12.41%
- 0M sh
- $26.35
- low $24.20high $27.35
The ETF.net XLVI Grade
A
Score 77 out of 100
- 1 of 22
Score 77 of 100 falls in the A band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Cost
The fund’s net expense ratio, ranked against its category.A76 out of 100Rank 1 of 22Mission
Whether the fund did what it promised, tested against its stated mandate.A91 out of 100Rank 7 of 13Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.A75 out of 100Rank 3 of 22Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.A86 out of 100Rank 2 of 22Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.C47 out of 100Rank 14 of 19Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.B63 out of 100Rank 8 of 22
Our read on XLVI
ACovered calls, pointed at one sector. XLVI owns State Street's health care sector ETF outright, then sells call options on that single fund, turning pharma, device and biotech exposure into a monthly income stream.
State Street describes an actively managed strategy seeking current income while preserving prospects for long-term capital growth. It invests in the State Street Health Care Select Sector SPDR ETF and sells call options on that ETF to generate additional income.
Why people hold it
- One holding, one overlay: it owns the health care sector ETF and writes calls on that same fund rather than on dozens of individual names, so the income engine is easy to follow.ssga.com
- Income lands monthly, and State Street discloses up front that distributions can include return of capital, so you know what can be inside the check.
- The 0.35% fee sits right at the median for sector covered-call funds, and it buys an actively managed options sleeve instead of a fixed formula.
- Part of a same-priced sector suite (utilities XLUI, energy XLEI), so you can pick the sector and keep the mechanics identical. This one ranks among the strongest builds in that group.
Worth knowing
- Selling calls means selling upside. The premium is paid for by giving up part of the gain when health care runs hard, which is the core trade in this design.ssga.com
- Launched in 2025, so the track record is short and the fund is still building scale. Worth eyeing the bid-ask spread before trading.
- Single-sector concentration: everything rides on S&P 500 health care names, from drug pricing policy to FDA outcomes and patent cliffs.ssga.com
XLVI Holdings
- Stocks
- 2
- 101%
- XLV
Sectors
- Health Care100.0%
Geography
- United States100.00%
XLVI Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
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XLVI$11,804
Returns run to the Oct 12, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.
| Period | XLVI |
|---|---|
| Year to date | +10.1% |
| 1 month | +4.3% |
| 3 months | +3.9% |
| 1 year | +18.0% |
| 3 years | — |
| 5 years | — |
| 10 years | — |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | XLVI |
|---|---|---|
| 2026 YTD | +10.1% | |
| 2025 | +12.8% |
XLVI in the news
XLVI Dividends
- 12.41%
- $3.29
- $0.31 per share
- Monthly
Distribution history
XLVI Risk
- 9.8%
How it’s calculated: standard deviation
The sample standard deviation of monthly total returns, multiplied by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.
- 1.65
How it’s calculated: Sharpe ratio
Subtract each month’s Treasury-bill return from the fund’s monthly total return.
Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.
- −8.1%
How it’s calculated: maximum drawdown
The largest percentage decline from an earlier peak, using total returns with reinvested distributions.
Uses up to five years through the last close, with at least 12 months required.
- 0.22
How it’s calculated: beta
The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.
XLVI Cost
0.35%
XLVI0.35%
- The middle half of Sector Option Income funds
- Median 0.47%
No Sector Option Income fund charges less.
Other funds in Sector Option Income
- AXLSIState Street Consumer Staples Select Sector SPDR Premium Income ETFExpense ratio 0.35%1 year return +9.4%
- AXLIIState Street Industrial Select Sector SPDR Premium Income ETFExpense ratio 0.35%1 year return +13.8%
- BXLEIState Street Energy Select Sector SPDR Premium Income ETFExpense ratio 0.35%1 year return +47.8%
- BXLFIState Street Financial Select Sector SPDR Premium Income ETFExpense ratio 0.35%1 year return +6.8%
- BXLBIState Street Materials Select Sector SPDR Premium Income ETFExpense ratio 0.35%1 year return +12.4%